A client with acute kidney injury had normal assessments 1 hour ago. Now the nurse finds that the client's respiration rate is 44 breaths/min and the client is restless. Which assessment does the nurse perform?
a. Obtain an oxygen saturation level.
b. Send blood for a creatinine level.
c. Assess the client for dehydration.
d. Perform a bedside blood glucose.
A
A complication of acute kidney injury is pulmonary edema. Manifestations of this include ta-chypnea; frothy, blood-tinged sputum; and tachycardia, anxiety, and crackles. The nurse needs to obtain an oxygen saturation, listen to the client's lungs, and notify the health care provider, so that treatment can be started. The other interventions are not helpful.
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